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Re: CBT anyone? SLS

Posted by Tabitha on July 13, 2016, at 13:33:49

In reply to Re: CBT anyone? Tabitha, posted by SLS on July 11, 2016, at 15:40:49

> > > Is CBT effective for anything?
> > >
> > > All comments welcome.
>
> > Did you say you've used CBT? How did it go? Are you considering trying again?
>
> I began taking advantage of my cursory knowledge of behaviorism (classical conditioning and operant learning) to help me unravel my severely involuted mind. I began this approach in 1982 when I first learned that I had a biological mood disorder that was seemingly resistant to other forms of psychotherapy. I had enormous success with this. Interestingly, I never knew that there was such thing as CBT - which I later discovered emerged in the 1960s.

I'm curious what changes you made. Can you give examples of successes? No pressure if it's too personal of a question.


>
> I believe in learning the psychological techniques and schematic diagram of how CBT works.

Yes, I would like to know that, too. What I have seen of CBT seems like a small grab-bag of distorted thought types, with some confusing overlaps between the types. When I learned more about critical thinking and cognitive biases, it annoyed me that CBT didn't address the idea of whether distorted thoughts might sometimes be truer than the non-distorted thoughts. It didn't address the idea of true vs false beliefs at all.

> I really don't believe in carrying a notebook around with you. I found that if you know what cognitive distortions you are contending with, you can then learn how to recognize them, and do your own reality testing to find a suitable replacement for the counterproductive thought. It helps to describe your experiences with a therapist so that you can be helped to reality-test specific distortions and replace them with positive messages.
>
> I do believe in the model:
>
> Automatic thoughts -> Intermediate beliefs -> Core beliefs
>

I thought CBT said that Core beliefs caused the Automatic thoughts. Like if your core belief is that you are not lovable, then you have a whole bunch of automatic self-critical thoughts. I'm not sure I remember what was taught exactly.

> It has worked for me. However, I received benefits from IPT that CBT did not provide and vice-versa. I consider CBT to be a good add-on to IPT. I don't know about psychoanalysis or psychodynamic therapy.
>
> CBT and IPT helped to improve the way my mind worked, but did nothing to improve my depressive disorder (bipolar depression).

Yes, that was my experience, even when therapy helped me come up with less distressing interpretation of events, it didn't really lift depression very much. It certainly didn't help hypomanic states at all.


> I am surprised that so many randomized controlled trials of CBT monotherapy in depression yield positive results. Perhaps their subject selection included people with mild-to-moderate depressed mood. I'm not sure that all of these people have Major Depressive Disorder. That's one of my pet peeves regarding clinical studies of depressive illness. I can, however, see how using CBT as an add-on to drug therapy can yield better results than drug therapy alone.
>

I saw reporting recently saying recent studies are finding less benefit of CBT than earlier studes. It seems it would be very difficult to construct meaningful controlled trials of it.

Interestingly, it's the reverse with SSRI trials. People with mild-to-moderate depression aren't helped more than placebo, whereas people with severe depression are helped.

Basically there just isn't very good evidence about interventions for depression. We're all doing individual trail-and-error.

 

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poster:Tabitha thread:1090316
URL: http://www.dr-bob.org/babble/psycho/20150512/msgs/1090473.html